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D
Poor

GUADALUPE VALLEY NURSING AND REHABILITATION CENTER

1210 EASTWOOD DR · SEGUIN, TX 78155

8303799308 · Non profit - Corporation

148 beds131.8 residents129 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

GUADALUPE VALLEY NURSING AND REHABILITATION CENTER receives an overall staffing grade of D (Poor). With 3.1416 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3345 HPRD, below the recommended 0.75. It is 0.75 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.33% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1416 HPRD — needs 0.34 more hours per resident per day.
⚠️RN staffing (0.3345 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.1416hrs/resident/day▼ 0.75
CMS benchmark: 3.48
RN HPRD
0.3345hrs/resident/day▼ 0.35
Recommended: 0.75
Weekend Drop-off
15.33%
3.2838 weekday → 2.7805 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5382hrs/resident/day
Direct care aides
LPN HPRD
0.7929hrs/resident/day
Licensed practical nurses
Consistency
0.2829std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Guadalupe County Average-0.10 HPRD
3.24
03.14 HPRD
vs. Texas State Average-0.26 HPRD
3.40
03.14 HPRD
vs. National Average-0.75 HPRD
3.90
03.14 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
GUADALUPE VALLEY NURSING AND REHABILITATION CENTER ★
SEGUIN · This facility
—
D
3.14160.3345★★☆☆☆
Avir at New Braunfels
New Braunfels
13.4 mi
F
3.39780.2148★☆☆☆☆
KIRKWOOD MANOR
NEW BRAUNFELS
15.5 mi
C
3.47960.4678★★☆☆☆
Eden Home
New Braunfels
15.5 mi
B
4.41020.6408★★★☆☆
WINDCREST NURSING AND REHABILITATION
WINDCREST
27 mi
D
2.91180.2834★☆☆☆☆
SAN ANTONIO WELLNESS & REHABILITATION
SAN ANTONIO
27.4 mi
D
3.32270.3492★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

11
Inspections
55
Total Deficiencies
$75,450
Fines Assessed
Dec 10, 2025Health
9 deficiencies cited
▼
Jun 6, 2025Health
2 deficiencies cited
▼
Jan 16, 2025Health
16 deficiencies cited
▼
Dec 13, 2024Health
2 deficiencies cited
▼
Aug 30, 2024Health
5 deficiencies cited
▼
Apr 26, 2024Health
2 deficiencies cited· Includes actual harm
▼
Dec 15, 2023Health
2 deficiencies cited
▼
Sep 8, 2023Health
3 deficiencies cited
▼
Jun 30, 2023Health
1 deficiency cited
▼
Apr 29, 2023Health
4 deficiencies cited
▼
Oct 14, 2022Health
9 deficiencies cited
▼

Penalty History

Apr 26, 2024Fine
$75,450
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.